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Annette Rios-Barrera

Therapist profile

Annette Rios-Barrera

Texas

Relational, trauma-informed therapy with warmth

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Review online therapy options and next steps on BetterHelp.

  • Trauma informed
  • Values focused
  • English and Spanish

About Annette

Annette Rios-Barrera is a licensed clinical social worker (LCSW) based in Texas with 23 years of experience. She works with people facing anxiety, depression, grief, and changes in relationships. Her pronouns are she/her and she welcomes clients from the LGBTQ+ community and people in non-traditional relationship structures.

Annette takes a trauma-informed, relational approach to therapy. Sessions focus on understanding how past hurts shape current patterns. She helps people rebuild trust, notice automatic reactions, and make choices that match their values. Work often includes practical skills for managing stress and strong emotions.

She blends evidence-based tools with a warm, human style. That can look like mindfulness practice, emotion-focused conversation, or straightforward behavior strategies depending on the person. She also sometimes uses light-hearted practices like laughter yoga when it supports healing.

Annette gives space for identity exploration and the messy parts of close connection. She pays attention to attachment patterns, intimacy concerns, and the effects of caregiving or chronic illness. The goal is clearer self-understanding and more dependable ways of relating to others.

Sessions are offered in English and Spanish. Annette accepts international clients and adapts to each person’s needs. To start, visitors follow the site’s matching steps and schedule according to available times.

How therapeutic approaches work online

Acceptance and Commitment Therapy, or ACT, helps people notice painful thoughts and still move toward what matters to them. Online ACT sessions focus on values, simple exercises, and small behavioral steps to try between meetings. Attachment-Based Therapy looks at how early relationships shape current bonds and trust. In remote sessions this often means talking through relationship patterns, noticing feelings in real time, and practicing different ways of connecting.

Finding the right approach is a team effort. The therapist will talk with each person about goals, past work, and what feels most useful. Together they try methods, check what helps, and adjust the plan over time so therapy stays practical and relevant.

Confirm which session formats are offered before booking, as the profile does not list specific options. Online work can make it easier to fit sessions into a busy week, reduce commute time, and allow shorter check-ins when schedules demand. It also lets people join from wherever they are located and keeps the focus on making therapy useful for everyday life.

Areas of expertise

Primary focus

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issues

Also works with

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

23+ years

Credentials

Texas

Languages

English, Spanish

Frequently asked questions

What concerns does Annette help with?

She works with anxiety, depression, grief, stress, relationship and intimacy issues, career questions, and coping with life changes. She also supports people with identity exploration and many attachment-related concerns.

What is her therapeutic style like?

Her style is trauma-informed and relational, combining practical skills with mindful, emotion-focused conversation. She adapts methods to each person’s goals and preferences.

How much experience does she have?

Annette has 23 years of professional experience as a licensed clinical social worker. That experience shapes how she understands long-term patterns and life transitions.

Where is she licensed and based?

She is an LCSW licensed in Texas and practices from that state. The profile lists Texas as her location.

Which languages are supported in sessions?

Sessions are offered in English and Spanish.

Can people outside the U.S. work with her?

Yes, she accepts international clients. Confirm any cross-border details during the scheduling process.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time. Specific pricing is provided during sign-up.

What are the first steps to begin?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability. The platform will guide you through next steps.

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